| NPI | 1417188434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 53158) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 2904) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2009-08-07 |