| NPI | 1902846512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 40198) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT07154) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2025-06-25 |