| NPI | 1225580889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 62783) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05463400) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |