| NPI | 1598996001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000004414) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 11605) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149-008935) | |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2012-11-27 |