| NPI | 1144300823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 2225-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 8403) |
| 1041C0700X Social Worker, Clinical (Licence: TN LSW0000004978) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2009-03-02 |