| NPI | 1235431214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6803) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL sw7932) |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2016-02-06 |