| NPI | 1548629629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NE 1588) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NE 3743) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |