| NPI | 1710014006 |
|---|---|
| Former Name | JUDITH VIRGINIA WEBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX L29490) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 29490) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2009-03-25 |