| NPI | 1801076716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 21329) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 7715-123) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2015-05-19 |