| NPI | 1730399288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 02572) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE 0000536) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2009-11-24 |