| NPI | 1386072551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 334867-3501) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: UT 334867-3502) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2016-06-10 |