| NPI | 1083772321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 61806) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 11854) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2016-01-04 |