| NPI | 1871800151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009160) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 56074) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2016-06-13 |