| NPI | 1982846069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 31776) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 992749) |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2012-07-20 |