| NPI | 1255451068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 61623) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 18323) |
| 1041C0700X Social Worker, Clinical (Licence: CA 25112) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2016-01-07 |