| NPI | 1962543801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 51404) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 992345) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2011-12-29 |