| NPI | 1558725366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011518) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC SW.12751.CP) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2018-08-11 |