| NPI | 1285672386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 8463543-3501) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NV 4968-C) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2021-04-29 |