| NPI | 1295027381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 7685351-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 7685351-3502-2010093) |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2015-10-19 |