| NPI | 1902035496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003949) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM X06438) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2009-07-06 |