| NPI | 1487664116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L3526) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: OR L3526) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2008-06-24 |