| NPI | 1982254678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 103747) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 104100000X Social Worker (Licence: TX 103747) | |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2023-08-10 |