| NPI | 1144490582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C013670) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL ISW 3934) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2021-03-02 |