| NPI | 1093049785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM X-06862) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NM M-06061) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2010-02-01 |