| NPI | 1093000598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 8311698-3502) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2021-03-16 |