| NPI | 1427104702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 309176-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-2399) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |