| NPI | 1740391689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008101) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904000458) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-03-29 |