| NPI | 1508907643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 35554) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 4350) |
| 1041C0700X Social Worker, Clinical (Licence: MS C5030) | |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2009-10-03 |