| NPI | 1316233455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC 302456) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 08604) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |