| NPI | 1417392226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-06666) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 57602) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2017-03-22 |