| NPI | 1558616433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C7317) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MS C7317) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2020-11-18 |