| NPI | 1770720914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 40409) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 40409) |
| 171M00000X Case Manager/Care Coordinator (Licence: TX 40409) | |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2021-08-18 |