| NPI | 1134505506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011051) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P009710) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2021-07-07 |