| NPI | 1528120359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NV 2983-C) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ID 189-C) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2011-09-13 |