| NPI | 1184239618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 44277) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 9846137-3501) |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-10-05 |