| NPI | 1740381797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C004890) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL sw6004) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2016-03-05 |