| NPI | 1023463098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C011457) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P010320) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2021-02-11 |