| NPI | 1114951159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L3060) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR 3060) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-07-24 |