| NPI | 1649377219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 19604) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA csw002089) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2015-09-30 |