| NPI | 1821241472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 60408) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C006096) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2022-07-21 |