| NPI | 1083876817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 71) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 26029) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |