| NPI | 1477972966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904007746) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C007506) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-10-03 |