| NPI | 1700215100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 68612) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 089508-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY 085366) | |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2019-11-06 |