| NPI | 1104078534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-38387) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW38387) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2023-11-23 |