| NPI | 1962646802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 1621-C) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: AL 0571-1621C) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2011-11-09 |