| NPI | 1487194171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011964) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010468) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2019-01-03 |