| NPI | 1902039191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 31607) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904014459) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2023-01-03 |