| NPI | 1821281221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 6710499-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 67104993501) |
| 1041C0700X Social Worker, Clinical (Licence: NC C008347) | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2016-10-13 |