| NPI | 1801562756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 62010) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 5741C) |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2024-06-19 |