| NPI | 1255346615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-05905) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1030899) |
| 1041C0700X Social Worker, Clinical (Licence: NH 1066) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2008-07-23 |