| NPI | 1992847537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 8575248-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 116414) |
| 1041C0700X Social Worker, Clinical (Licence: CA 27010) | |
| 104100000X Social Worker (Licence: UT 8575248-3502) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2014-03-27 |