| NPI | 1659340164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 57280) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: UT 130645-3501) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2015-02-12 |