| NPI | 1922218668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 854) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AK 401) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2012-02-13 |