| NPI | 1972736114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: C007255) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC p005034) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2011-11-21 |