| NPI | 1043284623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC #72) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 72) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2016-11-27 |