| NPI | 1417195132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 13855ClinicalSocialW) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |