| NPI | 1740539998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 63748) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50079456) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2018-03-17 |