| NPI | 1295172229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 66606) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C7644) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2022-12-08 |