| NPI | 1073877429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011442) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW12128) |
| Enumeration Date | 2012-06-30 |
| Last Update Date | 2019-01-16 |