| NPI | 1528291275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 50881) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 50881) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2023-10-26 |