| NPI | 1144270521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 004650) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 004650) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2010-10-13 |