| NPI | 1346494366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 107536) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 5712) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2024-05-08 |