| NPI | 1609142124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007819) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P005715) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-07-09 |