| NPI | 1114265337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009938) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P007559) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2021-12-13 |