| NPI | 1194802900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 9441174-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C5669) |
| 1041C0700X Social Worker, Clinical (Licence: AR 2455-C) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-07-13 |