| NPI | 1215929443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1207) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 3090) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2016-11-30 |