| NPI | 1164872495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C012058) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P009976) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2020-11-16 |