| NPI | 1922348911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008126) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904003017) |
| 1041C0700X Social Worker, Clinical (Licence: MD 07442) | |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2013-02-27 |