| NPI | 1275757494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C005607) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P003500) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2012-08-28 |