| NPI | 1568522837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 51209) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 4897-C) |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2020-05-06 |