| NPI | 1578624334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 05999) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC301708) |
| 1041C0700X Social Worker, Clinical (Licence: MA 105445) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |