| NPI | 1124370648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 10782) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC COO7965) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2022-07-27 |