| NPI | 1154447662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006752) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 23651) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-01-23 |