| NPI | 1093188963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011218) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P009814) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2020-01-17 |