| NPI | 1275914301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010502) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C011257) |
| 1041C0700X Social Worker, Clinical (Licence: NC 23401) | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2018-07-17 |