| NPI | 1023426194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 07351) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV CP00944382) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |