| NPI | 1952596223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C7423) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 4890) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2009-07-13 |