| NPI | 1407000151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 51691) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS24115) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2008-11-10 |