| NPI | 1508268616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 36350) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW33924) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2021-05-21 |