| NPI | 1780130831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 54371) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: TX 54371) |
| 104100000X Social Worker (Licence: TX 54371) | |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |