| NPI | 1841414703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007074) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 213706) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2015-06-09 |