| NPI | 1285985101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-35594) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-29995) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2022-11-04 |