| NPI | 1811037914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 09630) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 2122) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 543296) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |