| NPI | 1811069826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18576) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 24754) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2014-05-15 |