| NPI | 1225168107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011409) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 6139) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2019-12-12 |