| NPI | 1164753299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009823) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C009072) |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2018-03-17 |