| NPI | 1891706685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 5350) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000141) |
| 1041C0700X Social Worker, Clinical (Licence: MD 13466) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2011-12-19 |