| NPI | 1427580166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 04450) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM I08298) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-06-22 |