| NPI | 1265901045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 9210-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 9210-123) |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2019-10-18 |