| NPI | 1366791634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008279) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 007521) |
| Enumeration Date | 2012-09-02 |
| Last Update Date | 2014-10-29 |