| NPI | 1447367131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 38494) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 341020-3501) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2021-09-18 |