| NPI | 1578557880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 41504) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM I-06689) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2009-02-04 |