| NPI | 1891964359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 51737) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 100371) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2015-12-02 |