| NPI | 1861623803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD MD07028) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC302381) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |