| NPI | 1063998433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013487) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012612) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2021-02-09 |