| NPI | 1881023018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 1237) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LMSW-28091) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2014-01-22 |