| NPI | 1154719805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 13715) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW17366) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2022-01-01 |