| NPI | 1245242668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C003486) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC C003486) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2021-02-09 |