| NPI | 1447659511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 107293) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 60793782) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2022-06-07 |