| NPI | 1972661858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 30823) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 15551) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-01-27 |