| NPI | 1548371198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-06636) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 20339) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-12-21 |