| NPI | 1326323783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NE 150) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NE 876) |
| 1041C0700X Social Worker Clinical (Licence: NE 1777) | |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2011-10-18 |