| NPI | 1588688634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 6698-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 6698-123) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2014-05-02 |