| NPI | 1477762623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC SCB SWE 1043) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 1043) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-02-08 |