| NPI | 1194150136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P008351) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW14380) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2019-11-05 |