| NPI | 1003085556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 9926269) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 68097) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2024-02-28 |