| NPI | 1043745011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 65063) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 12053) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2018-04-25 |