| NPI | 1164436499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 3920) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: LA 3920) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-05-05 |