| NPI | 1952859761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 58071) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2017-01-13 |