| NPI | 1558760728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C5881) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 1108-2322C) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2021-06-17 |