| NPI | 1396094454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-09718) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 40739) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2018-08-27 |