| NPI | 1396157632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 12783) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C011602) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2018-08-26 |