| NPI | 1073661252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 2102) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 106904) |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2007-07-08 |