| NPI | 1609914571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 12008) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 12008) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2008-03-06 |