| NPI | 1306171988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 2302C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 2258G) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2014-06-05 |