| NPI | 1174851653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 2143C) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AL 0897PIP) |
| Enumeration Date | 2009-11-22 |
| Last Update Date | 2009-11-22 |