| NPI | 1992937452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 36940) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX 02455) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |