| NPI | 1174075683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012282) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC p010776) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2022-01-18 |