| NPI | 1649468919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-31143) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LMSW 25984) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2013-10-22 |