| NPI | 1578876280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C7533) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS M7533) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2018-05-31 |