| NPI | 1063745537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 109114) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007204) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2023-07-07 |