| NPI | 1306236385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 58573) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 221619-3501) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |