| NPI | 1831399732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 4703) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 30240) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2016-05-24 |