| NPI | 1780935429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC 7899) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 51848) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-21 |