| NPI | 1295751444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: LA 8275) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 8275) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-10-19 |