| NPI | 1043723083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C011250) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P012089) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2019-02-19 |