| NPI | 1235277633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX Q8839) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 3803) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2010-08-25 |