| NPI | 1609809763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 828) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 5303) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-07-08 |