| NPI | 1285772673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 04869) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC00300812) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-11-29 |