| NPI | 1477728707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 6406) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C006515) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2016-04-01 |