| NPI | 1790025005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 52241) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT 2197) |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2013-02-22 |