| NPI | 1598772030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 8265311-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM I0-221) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2018-11-12 |