| NPI | 1053538264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 380164-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 7460-C) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2017-12-01 |