| NPI | 1770677460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 1232) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L3856) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-05-18 |