| NPI | 1326212119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 39704) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2013011224) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2019-07-02 |