| NPI | 1366549792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: TN 0000005212) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C004736) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |