| NPI | 1003292327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009689) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 9043) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2016-04-13 |