| NPI | 1003977463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00009448) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC01167500) |
| 1041C0700X Social Worker, Clinical (Licence: NY PR017066) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2010-07-12 |