| NPI | 1336685759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 11093) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 7133) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |