| NPI | 1417365685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008923) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904008587) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2020-06-09 |