| NPI | 1265542831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 62121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 6012) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-10-02 |