| NPI | 1497953996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC C001792) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C001792) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2007-07-09 |