| NPI | 1487053120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 66284) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM C-10103) |
| 104100000X Social Worker (Licence: NM M-08759) | |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2018-09-19 |