| NPI | 1780802314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX LCSW-53793) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-29197) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2011-03-09 |