| NPI | 1447487020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 8840) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 65455) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2018-04-11 |