| NPI | 1447521505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12022) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 8316) |
| Enumeration Date | 2012-01-21 |
| Last Update Date | 2024-12-16 |