| NPI | 1407495344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 93398) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 63578) |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-23 |