| NPI | 1588638613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 51257) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00004086) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2016-04-21 |