| NPI | 1063651073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7562-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 127030-121) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2020-12-15 |