| NPI | 1437428133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: LA 11275) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 38793) |
| Enumeration Date | 2011-12-26 |
| Last Update Date | 2017-03-16 |