| NPI | 1407906670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I 1926) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 41206) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |