| NPI | 1932401692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 65904) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA SC60186599) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2023-05-31 |