| NPI | 1407964117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 32824) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000005088) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2021-01-28 |