| NPI | 1780861104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 3084) |
| Additional Taxonomies | 1041S0200X Social Worker School |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-02-01 |