| NPI | 1164999785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PR 13477) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PR 13477) |
| 1041S0200X Social Worker, School (Licence: PR 13477) | |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-12-05 |