| NPI | 1083636963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 34506) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 7740) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34004995A) | |
| 1041C0700X Social Worker, Clinical (Licence: FL 10438) | |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2012-04-06 |