| NPI | 1467787804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 4123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 57332) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2019-10-16 |