| NPI | 1275187072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9035) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 28182) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |