| NPI | 1972899078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 107901) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NM M-07500) |
| 1041C0700X Social Worker Clinical (Licence: NM I-08435) | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2024-01-10 |