| NPI | 1265895767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR A4107) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L7414) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2018-04-02 |