| NPI | 1407028483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 68850903501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 37097) |
| Enumeration Date | 2008-03-30 |
| Last Update Date | 2021-10-12 |