| NPI | 1578506580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13421) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD G10487) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2018-11-20 |