| NPI | 1730136003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C005121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 104851) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2013-05-07 |