| NPI | 1033308549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L3886) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-27517) |
| Enumeration Date | 2007-10-20 |
| Last Update Date | 2007-10-20 |