| NPI | 1417273178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007228) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 115975) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2018-10-01 |