| NPI | 1609945930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C6831) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MS M6831) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2014-06-04 |