| NPI | 1528405347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 62160) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 6883-C) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2017-05-11 |