| NPI | 1083838866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L7592) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW3529) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2023-06-15 |