| NPI | 1518309822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006798) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW13138) |
| Enumeration Date | 2013-07-28 |
| Last Update Date | 2023-12-11 |