| NPI | 1295982874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 5795) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MN 14444) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2015-12-17 |