| NPI | 1568537504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 9469) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 314033-3501) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2011-01-18 |