| NPI | 1740239722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 0335C) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AL PIP004) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2007-07-08 |