| NPI | 1063927853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-37582) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-33944) |
| Enumeration Date | 2017-12-03 |
| Last Update Date | 2019-07-19 |