| NPI | 1972852176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: PR 9545) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PR 9545) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2012-09-04 |