| NPI | 1023116597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV BP00942266) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD G11436) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |