| NPI | 1316270788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11205780-3501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-05398) |
| 1041C0700X Social Worker, Clinical (Licence: NM I-07545) | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2020-05-21 |