| NPI | 1457658882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 11362) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC3000867) |
| Enumeration Date | 2011-02-21 |
| Last Update Date | 2011-02-21 |