| NPI | 1073615142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX LCSW54964) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OK LCSW2839) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2011-05-16 |