| NPI | 1477860567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 4038) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 116689) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2015-10-21 |