| NPI | 1629106133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 34761) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L6947) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2016-06-08 |