| NPI | 1528197472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C013050) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 115156) |
| 1041C0700X Social Worker Clinical (Licence: MA 214158) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2022-06-02 |