| NPI | 1164770954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW 4028) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: HI LCSW4028) | |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2018-01-05 |