| NPI | 1063702793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4860) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-30060) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2022-12-15 |