| NPI | 1295819845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 01415) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 002012 038425) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |