| NPI | 1003169202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C007285) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC C007285) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2021-08-13 |