| NPI | 1205497203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P013658) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NC P013658) |
| 104100000X Social Worker (Licence: NC P013658) | |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2019-06-21 |