| NPI | 1003057464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1469) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA 016208) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-05-01 |