| NPI | 1336616457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 8723337-3502) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 8723337-3501) |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2020-01-21 |