| NPI | 1881938983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 57418) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 101664) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2020-10-09 |