| NPI | 1225276355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12805) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC3000763) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2009-01-27 |