| NPI | 1265602650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C0065557) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 1628) |
| 1041C0700X Social Worker, Clinical (Licence: MA 121080) | |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2020-09-03 |