| NPI | 1710034418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 2141) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 006426) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2012-12-28 |