| NPI | 1245509967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 04120) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC300190) |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2011-12-27 |