| NPI | 1194164251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010759) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P008101) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2019-06-18 |