| NPI | 1659664019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C002662) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1021682) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |