| NPI | 1720395072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 9347) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 008195) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2013-09-25 |