| NPI | 1396053567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 104099) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 9409) |
| 1041C0700X Social Worker, Clinical (Licence: LA 10314) | |
| 104100000X Social Worker (Licence: LA 10314) | |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2022-12-02 |