| NPI | 1659331874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 3465373501) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: UT DOPL) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2022-05-16 |