| NPI | 1518078344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 16481) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 16481) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-04-09 |