| NPI | 1386746022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 25716) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 4071) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2019-11-14 |