| NPI | 1952615601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 53850) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CWS005641) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2019-05-03 |