| NPI | 1124376082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NV 8114-C) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 007159) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2020-09-11 |