| NPI | 1366689457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 002457) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 10117) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2016-05-10 |