| NPI | 1568553956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 7902) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 06596) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-06-19 |