| NPI | 1073914867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C09068) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW12227) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2021-06-17 |