| NPI | 1831335512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 4513) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 08944) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2009-01-10 |