| NPI | 1215368246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010290) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 11848) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2019-10-07 |