| NPI | 1194192237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C009963) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: LA 13490) |
| 1041C0700X Social Worker Clinical (Licence: RI ISW02368) | |
| 1041C0700X Social Worker Clinical (Licence: TX 59022) | |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2020-04-08 |