| NPI | 1679852511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM X-07494) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 27488) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |