| NPI | 1841412772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14098) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD M03012) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2012-08-15 |