| NPI | 1043729940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 8075) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 8775-123) |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2019-12-04 |