| NPI | 1831475821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 8002250-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 35484) |
| Enumeration Date | 2011-10-23 |
| Last Update Date | 2012-08-07 |