| NPI | 1558350306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-38374) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL sw0003309) |
| 1041C0700X Social Worker, Clinical (Licence: AR 2505-c) | |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2020-03-13 |