| NPI | 1003974130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012125) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW14296) |
| 1041C0700X Social Worker, Clinical (Licence: SC 5836) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-03-23 |