| NPI | 1376629667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904002349) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: VA 09533686) |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2007-07-09 |