| NPI | 1336222462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6539) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 115017) |
| 1041C0700X Social Worker, Clinical (Licence: NC C006408) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2018-06-01 |