| NPI | 1861525388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 60120) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW #29076) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2016-09-21 |