| NPI | 1003052531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY 749) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT 4567) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2019-11-07 |