| NPI | 1912400276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 57520) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C010129) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |