| NPI | 1902038409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 54800) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM X-06658) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2023-12-15 |