| NPI | 1104208917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C10145) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P008677) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2022-08-17 |