| NPI | 1093158321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P007394) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2015-08-25 |