| NPI | 1144550187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TN 8102) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 6241) |
| 1041C0700X Social Worker, Clinical (Licence: TX 104545) | |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2022-02-04 |