| NPI | 1871821603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007023) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C004393) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2010-03-15 |