| NPI | 1588851224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 25468) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00009219) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2017-11-17 |