| NPI | 1205018355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C005793) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: SC 9295) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2016-08-26 |