| NPI | 1558873687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012661) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012046) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2019-11-15 |