| NPI | 1649448275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 30922) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 1773-C) |
| Enumeration Date | 2008-02-17 |
| Last Update Date | 2018-03-30 |