| NPI | 1952439424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM I 05882) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM I05882) |
| 1041S0200X Social Worker, School (Licence: NM I05882) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-09 |