| NPI | 1720219462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 41376) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 25555) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2010-11-03 |