| NPI | 1821028978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 22348) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 22348) |
| 104100000X Social Worker (Licence: AR 1224M) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-01-09 |