| NPI | 1568808939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 18192) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 3890C) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2023-02-21 |