| NPI | 1811089386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 2457) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 3246) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |