| NPI | 1841658531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 63668) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 11507) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2020-05-14 |