| NPI | 1104223080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-38281) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L7925) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2022-08-24 |