| NPI | 1194173070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C0011635) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC C011635) |
| 1041C0700X Social Worker Clinical (Licence: NC P010483) | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2022-03-17 |