| NPI | 1457756900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 218801) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 57832) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |