| NPI | 1790155737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67754) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 81494) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2020-04-13 |