| NPI | 1457422776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I04896) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 38850) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2007-07-08 |