| NPI | 1912215369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 58992) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C006886) |
| 1041C0700X Social Worker, Clinical (Licence: LA 9610) | |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2019-04-11 |