| NPI | 1811221708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 54872) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS11362) |
| 1041C0700X Social Worker, Clinical (Licence: CO 956) | |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2012-10-22 |