| NPI | 1588797005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 10288) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 38367) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2012-06-29 |