| NPI | 1659359388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 137478-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 19905) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2011-07-25 |