| NPI | 1790895704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 18416) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 431448) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-09-16 |