| NPI | 1073856639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 10414942-3501) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2021-08-13 |