| NPI | 1700056074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13877) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD G11970) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2016-06-07 |