| NPI | 1245254978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 0278261) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TN 6613) |
| 1041C0700X Social Worker Clinical (Licence: AR 1990C) | |
| 1041C0700X Social Worker Clinical (Licence: MS C5673) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2008-01-22 |