| NPI | 1477820454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-36251) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID 30055) |
| Enumeration Date | 2011-11-19 |
| Last Update Date | 2024-03-24 |