| NPI | 1063837854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 5820) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 39587) |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2021-05-28 |