| NPI | 1659630135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 39496) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904015732) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2023-12-19 |