| NPI | 1750629010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 8879) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC P006919) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |