| NPI | 1013396175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-36402) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-33063) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2020-08-26 |