| NPI | 1073975397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 147386) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001606) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2019-11-18 |