| NPI | 1235287798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 50137) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 1759-C) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2022-09-07 |