| NPI | 1518096171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-05693) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM I 5693) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2010-03-11 |