| NPI | 1841474640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO 302) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 1473) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2011-10-12 |