| NPI | 1457609570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 8025-123) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2021-11-05 |