| NPI | 1699058941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 54707) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 54707) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2019-12-06 |