| NPI | 1245249804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 8989) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 21261) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-14 |