| NPI | 1063531663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MS C2058) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MS 2561) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2010-09-22 |