| NPI | 1215944327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 105894) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 97200) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2023-11-16 |