| NPI | 1386730604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C005798) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P003348) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2016-06-20 |