| NPI | 1255408043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 6899) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 6899-123) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2021-02-06 |