| NPI | 1043524804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 10114) |
| Additional Taxonomies | 251S00000X (Licence: LA 10114) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-12-14 |