| NPI | 1609031194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 10931) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P004340) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2015-02-05 |