| NPI | 1295005981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 9505153-3501) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WY LCSW774) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2016-08-03 |