| NPI | 1952627150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 62710) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 3314) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2024-06-16 |