| NPI | 1205176963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 6087) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C7945) |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2013-02-18 |