| NPI | 1205093671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008884) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW8704) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2021-03-06 |