| NPI | 1205964293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006882A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 24708) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2014-01-15 |