| NPI | 1114307626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-37940) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LMSW-34847) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2018-08-15 |