| NPI | 1376870667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008252) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW9299) |
| Enumeration Date | 2009-11-08 |
| Last Update Date | 2014-05-12 |