| NPI | 1639341670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 618) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 22443) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |