| NPI | 1053673756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 3953) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 1210) |
| Enumeration Date | 2012-06-09 |
| Last Update Date | 2022-05-14 |