| NPI | 1073762704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001511) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 18338) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2019-04-09 |