| NPI | 1033314521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8054-123) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2019-02-15 |