| NPI | 1164977690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 62343) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 20640) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |