| NPI | 1457890170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC 001692) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: SC 1222) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |