| NPI | 1942764600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 105665) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 195649) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2026-04-03 |