| NPI | 1578984258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010661) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 17055) |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2021-08-12 |