| NPI | 1780689869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MS C6916) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TN 5914) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2013-11-22 |