| NPI | 1467786434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 09924905) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 53080) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2019-02-10 |