| NPI | 1679898456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 56153) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 3584) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2012-05-09 |