| NPI | 1518581628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 006726) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 13428) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |