| NPI | 1457698185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008285) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 10662) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2019-09-19 |