| NPI | 1003167396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 115251) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C011014) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2019-07-02 |