| NPI | 1003121211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 7843-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 127236121) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2012-12-03 |