| NPI | 1255841599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AR 10095C) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker Clinical (Licence: MO 2020008097) | |
| Enumeration Date | 2017-09-30 |
| Last Update Date | 2020-10-15 |