| NPI | 1982838983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-06978) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-12539) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-06 |