| NPI | 1427095215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR 6117) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MN 23167) |
| 1041C0700X Social Worker Clinical (Licence: CA 19499) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2021-12-19 |