| NPI | 1740201367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 63049) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2005013077) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2018-06-16 |