| NPI | 1578635611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 9605) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C005477) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2023-10-03 |