| NPI | 1568827434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: IA 077084) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 077084) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2022-08-14 |