| NPI | 1265987200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 22092) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA 001697) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |