| NPI | 1215201470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 7334) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007841) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2022-06-16 |