| NPI | 1033770235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 12216) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: LA 12216) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-11-12 |