| NPI | 1083864813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 507) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 324865-3501) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2009-06-25 |