| NPI | 1669532982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 7027534-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34003764A) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2014-07-15 |