| NPI | 1255570388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 438) |
| Additional Taxonomies | 104100000X Social Worker (Licence: HI 651) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2010-01-05 |