| NPI | 1265976625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 18122) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT 19138) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2020-07-17 |