| NPI | 1326262346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 42728) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT80265) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2011-06-14 |