| NPI | 1104903996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 282464-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-26194) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-12-03 |