| NPI | 1598804189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6167) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007728) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2015-05-04 |