| NPI | 1902962657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 62212) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 33830) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2021-12-27 |