| NPI | 1316189806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 9777-123) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IA 06175) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2024-05-14 |