| NPI | 1285718403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 13882) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: LA 4993) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2014-09-16 |