| NPI | 1477857910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OK 3826) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AZ 2920) |
| Enumeration Date | 2010-12-24 |
| Last Update Date | 2010-12-24 |