| NPI | 1265795231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM i-08764) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 37353) |
| Enumeration Date | 2012-06-24 |
| Last Update Date | 2015-01-27 |