| NPI | 1376876409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 112111) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM C-08968) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2024-03-07 |