| NPI | 1205265170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L12242) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 110709) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2022-09-23 |