| NPI | 1407004146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 1391C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 34473) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW00009550) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 16410) | |
| Enumeration Date | 2008-09-07 |
| Last Update Date | 2015-02-05 |