| NPI | 1942298864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006760) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34003959A) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2011-01-04 |