| NPI | 1063713501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-32439) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-28541) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2020-06-09 |