| NPI | 1417475468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9329-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 129126-121) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2019-12-16 |