| NPI | 1629082979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AR 2626-C) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TN 3327) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2011-07-15 |