| NPI | 1295904167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 002727) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 5224) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |