| NPI | 1003133992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 56962) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 15529) |
| 1041C0700X Social Worker Clinical (Licence: DC LC50078619) | |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2015-07-10 |