| NPI | 1275973893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 111702) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 73079675) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2023-11-21 |