| NPI | 1316041759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4384) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 54458) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904006358) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2018-04-05 |