| NPI | 1114252830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY 789) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WY 135) |
| 1041C0700X Social Worker, Clinical (Licence: WY 413) | |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2024-04-16 |