| NPI | 1962656736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 11895) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCS17084) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |