| NPI | 1356373039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 65247) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW6032) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2018-01-02 |