| NPI | 1881881209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 6172) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 2092C) |
| Enumeration Date | 2007-09-30 |
| Last Update Date | 2007-09-30 |