| NPI | 1285911180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM M-07717) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 55646) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2017-02-16 |