| NPI | 1093195554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: C010737) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P008815) |
| Enumeration Date | 2015-05-31 |
| Last Update Date | 2018-10-30 |