| NPI | 1669603304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD G06360) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LG100957) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |