| NPI | 1386659704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC C006398) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 1458123) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2013-08-28 |