| NPI | 1750314787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 108) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 2236) |
| 1041C0700X Social Worker, Clinical (Licence: NE 1005) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2012-02-02 |