| NPI | 1568024032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904000745) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-07-03 |