| NPI | 1942609284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 107401) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 13934) |
| 1041C0700X Social Worker, Clinical (Licence: NC 012278) | |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2024-09-20 |