| NPI | 1811202724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 52502) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 52502) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2022-03-30 |