| NPI | 1053732487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 3787C) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: LA 10891) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2017-03-09 |