| NPI | 1689667024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 841) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C000671) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2008-10-09 |