| NPI | 1720103476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 06822) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MD 06822) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2018-03-17 |