| NPI | 1942321112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007001A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 38621) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2021-03-18 |