| NPI | 1316355654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCS25934) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 31638) |
| 1041C0700X Social Worker Clinical (Licence: KY KY-1338) | |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |