| NPI | 1063672681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 6969C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV 5139-s) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2017-05-02 |