| NPI | 1174928774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C009799) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P008277) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2021-03-05 |