| NPI | 1174804223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008436) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P006463) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2013-08-28 |