| NPI | 1811051501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 06081) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 06081) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2014-02-13 |