| NPI | 1427312834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW-33227) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-29805) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2016-06-13 |