| NPI | 1417398736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW35479) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-32901) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2023-07-06 |