| NPI | 1477927853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012998) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P009703) |
| Enumeration Date | 2015-11-22 |
| Last Update Date | 2021-01-02 |