| NPI | 1275677791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C005474) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW6423) |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2007-08-15 |