| NPI | 1215046891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006956) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904002062) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2015-05-21 |