| NPI | 1376077255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C004606) |
| Additional Taxonomies | 251S00000X (Licence: NC 1041C0700) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-18 |