| NPI | 1104856962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX S16319) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 16319) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2012-02-17 |