| NPI | 1427379866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17635) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD G13000) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2015-02-13 |