| NPI | 1831168723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 31514) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 98428) |
| 1041C0700X Social Worker, Clinical (Licence: NM I-06008) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-08 |