| NPI | 1477072551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014742) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011753) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2022-05-01 |