| NPI | 1982711644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 69447) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 113295) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2023-10-13 |