| NPI | 1881927119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 7084414-3501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 7084414-3502) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2014-03-26 |