| NPI | 1487108361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011722) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010931) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2020-07-29 |