| NPI | 1346594637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C008294) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P006444) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2019-09-03 |