| NPI | 1558779769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008189) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 14097) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |