| NPI | 1528099009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 0531-1510C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 4029) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2022-07-21 |