| NPI | 1104346287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013410) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011585) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2021-06-09 |