| NPI | 1265763502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: TX 52975) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2016-08-30 |