| NPI | 1275072480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 7460) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 56892) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2021-02-01 |