| NPI | 1134478175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 103275) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW87662) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2023-07-04 |