| NPI | 1073580239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 16805) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 06347) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2021-01-07 |