| NPI | 1235417775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 11789) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P005855) |
| 1041C0700X Social Worker, Clinical (Licence: NC C008599) | |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2022-07-21 |