| NPI | 1407386907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012640) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011541) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-08-23 |