| NPI | 1154649838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 61802) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 5294-M) |
| 104100000X Social Worker | |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2021-03-30 |