| NPI | 1245417914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 58706) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60111382) |
| 1041C0700X Social Worker, Clinical (Licence: OH 1200207-SUPV) | |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2020-12-15 |