| NPI | 1881040996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 104665) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: LA 14051) | |
| 1041C0700X Social Worker, Clinical (Licence: LA 14051) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2022-09-15 |