| NPI | 1508266792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010726) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P008856) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2023-05-09 |