| NPI | 1336225143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 25555) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 25555) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-12-29 |