| NPI | 1356388300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 13582) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 914) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2015-10-02 |