| NPI | 1457678799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 15477) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 15477) |
| 1041S0200X Social Worker School (Licence: MD 15477) | |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |