| NPI | 1467561209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 60852) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW12258) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-18 |