| NPI | 1083878706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 28075) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 12177) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-15 |