| NPI | 1801291703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 63315) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 28576) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2018-04-27 |