| NPI | 1003010513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006363) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34005348A) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2015-06-24 |