| NPI | 1760538243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 51728) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NM I-06281) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2009-07-06 |