| NPI | 1184714982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C7256) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 00688) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-10-30 |