| NPI | 1790085058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 53346) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 53346) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2014-10-04 |