| NPI | 1255642997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 7647) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 52635) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2019-10-11 |