| NPI | 1417502386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C013344) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P012890) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2021-03-09 |