| NPI | 1033649512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15616) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 63191) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2018-10-16 |