| NPI | 1255408506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 50848) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW003534) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2009-02-13 |