| NPI | 1043353295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 3406) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 1958c) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2011-11-23 |