| NPI | 1902279490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 65988) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 6639) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2019-04-11 |