| NPI | 1104066141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 8790) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 56189) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2023-12-28 |