| NPI | 1801094081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 09948) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DC LC303216) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |