| NPI | 1235444092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006053) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 56226) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2012-11-21 |