| NPI | 1912234154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 3554) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 1525) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2014-01-10 |