| NPI | 1073753075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 58401) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077565-1) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2018-03-17 |