| NPI | 1699167346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 64031) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4004) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2019-12-05 |