| NPI | 1134510886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 66151) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C011024) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2019-12-22 |