| NPI | 1740276906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX S03218) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 3218) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2008-09-08 |