| NPI | 1265973374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012300) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010972) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2020-02-11 |