| NPI | 1558793901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW35797) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L7037) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2016-12-15 |