| NPI | 1477578672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 51911803501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 51911803502) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2011-06-29 |