| NPI | 1740485820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7623-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 127247-121) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2010-12-13 |