| NPI | 1861042160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 64196) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 64196) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2022-09-23 |