| NPI | 1710139001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 2112C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 4606) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2008-10-17 |