| NPI | 1003146978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WV DP00944880) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 17093) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2018-06-13 |