| NPI | 1316056948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904004750) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C008154) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2013-08-26 |