| NPI | 1457572943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006473) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 4857335-3501) |
| 1041C0700X Social Worker, Clinical (Licence: SC 9655) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2012-02-28 |