| NPI | 1164451068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC c003309) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 000503) |
| 104100000X Social Worker (Licence: NC C003309) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2009-03-16 |