| NPI | 1689326449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 69585) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 7883) |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-01-24 |