| NPI | 1497046627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: NV 01791-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 01791-C) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2012-01-05 |