| NPI | 1871705947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 1475) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 22582) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2013-10-08 |