| NPI | 1023164902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 16252) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 04755) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2016-11-11 |