| NPI | 1124412283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 59705) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 4322) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2020-05-18 |