| NPI | 1245353259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK AA765) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW3591) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |