| NPI | 1356885735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010938) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904009475) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2018-03-21 |