| NPI | 1477065308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009348) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 64030) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2020-02-24 |