| NPI | 1720133143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 28478) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX TX28478) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2011-03-21 |