| NPI | 1063850923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7219) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR A3781) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2021-12-31 |