| NPI | 1295766541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 65115) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 4040) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2021-12-16 |