| NPI | 1356688816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DE 0000315) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 11076) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |