| NPI | 1235489949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 56506) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C007289) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2013-12-26 |