| NPI | 1417430224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 34005960A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 104441) |
| Enumeration Date | 2018-09-09 |
| Last Update Date | 2018-09-09 |