| NPI | 1104332923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007992) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 3932) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |