| NPI | 1952325706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007716) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 2295) |
| 1041C0700X Social Worker, Clinical (Licence: FL 0002295) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2014-02-19 |