| NPI | 1982135885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 63844) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 63844) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2023-04-12 |