| NPI | 1679679070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 42657) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 1897M) |
| 104100000X Social Worker (Licence: TX 42657) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2011-04-26 |