| NPI | 1912219320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 28174) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C007592) |
| 1041C0700X Social Worker, Clinical (Licence: LA 10835) | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2018-05-09 |