| NPI | 1003467267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 10326) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 14582) |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |