| NPI | 1609948504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 712) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 00712) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-12-23 |