| NPI | 1124583778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 25501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD G09847) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-10-23 |