| NPI | 1407395767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 57000) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 000119920) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2018-03-07 |