| NPI | 1205047602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 107308) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 116085) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2024-03-15 |