| NPI | 1225589955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW4261) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW13674) |
| 1041C0700X Social Worker, Clinical (Licence: AL 3858C) | |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2017-12-07 |