| NPI | 1649468604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MT 0034203) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MT 0503285) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |