| NPI | 1700964731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 992909) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149008296) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |