| NPI | 1275764078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 53795) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW 00007426) |
| 1041C0700X Social Worker, Clinical (Licence: NC C006205) | |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2021-11-29 |