| NPI | 1790995876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 41497) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM I-06574) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2009-07-28 |