| NPI | 1659416089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 51758) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX I06655) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2010-09-23 |