| NPI | 1427511062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WV BP00944630) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV AP00944630) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-07-23 |