| NPI | 1326045824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 06228) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DE Q1-0001029) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2016-09-19 |