| NPI | 1306116488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 106691) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 80679) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2023-08-21 |