| NPI | 1407140965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 14017) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DC LCD50078971) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |