| NPI | 1770722258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7583123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME mc11111) |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2010-04-05 |