| NPI | 1114310653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 57181) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 094127) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2022-03-09 |