| NPI | 1558403055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 11462) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DC LC3000775) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |