| NPI | 1083066369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C8339) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW006962) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2021-03-22 |