| NPI | 1306070057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 52207) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 19656) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2022-11-21 |