| NPI | 1073578969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904016120) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 35461) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2024-04-02 |