| NPI | 1003054560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW- 31259) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW 28083) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2016-10-17 |