| NPI | 1174704621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 34542) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 1210) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2011-01-06 |