| NPI | 1043669708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C011506) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC PO10520) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2018-12-15 |