| NPI | 1518497403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012368) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011631) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2019-08-06 |