| NPI | 1407221310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010622) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P009023) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2020-02-24 |