| NPI | 1801135645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 60016) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 4600) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2015-05-20 |