| NPI | 1316245830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 61767) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 4033) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2021-06-15 |