| NPI | 1780933556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008230) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P006272) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2013-04-16 |