| NPI | 1194884841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 60361) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 16592) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2016-12-13 |