| NPI | 1174578686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C000413) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC NCCCSWC000413) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2011-09-21 |