| NPI | 1356640973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010224) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P005868) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2018-08-07 |