| NPI | 1508179946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 108424) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 4360) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2023-03-16 |