| NPI | 1174931182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW36364) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OR L7247) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2020-11-05 |