| NPI | 1134496102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007704) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 50889) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2013-01-22 |