| NPI | 1689971301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 61422) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079224) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2018-12-20 |