| NPI | 1932971272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 66580) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 66580) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2024-09-29 |