| NPI | 1386934156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 53881) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 10061) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-13 |