| NPI | 1740392943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1109) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 2022) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2013-08-02 |