| NPI | 1508044629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: HI LCSW-3357) |
| Additional Taxonomies | 104100000X Social Worker (Licence: HI LSW-393) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2009-07-03 |