| NPI | 1013918051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9563) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 03137) |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2021-01-13 |