| NPI | 1154376796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 02316C) |
| 1041C0700X Social Worker, Clinical (Licence: HI 3832) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2015-11-06 |