| NPI | 1083703318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C00567) |
| Additional Taxonomies | 104100000X Social Worker (Licence: COO5657) |
| 1041C0700X Social Worker Clinical (Licence: NC P002867) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2022-05-02 |