| NPI | 1366463416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 16435) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 991682) |
| 1041C0700X Social Worker, Clinical (Licence: IA 008175) | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2016-12-07 |