| NPI | 1336775667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC P014291) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC P014291) |
| 104100000X Social Worker (Licence: NC B000979) | |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-07-06 |