| NPI | 1598936965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009408) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 8953) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2016-07-09 |