| NPI | 1124295704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 50175) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 50175) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2018-06-19 |