| NPI | 1639373681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PR 6599) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: PR 6599) |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: PR 6599) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2012-08-06 |