| NPI | 1356689301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008417) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 10695) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2014-07-09 |