| NPI | 1588642649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 12724) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 672) |
| 1041C0700X Social Worker, Clinical (Licence: NE 475) | |
| Enumeration Date | 2006-01-08 |
| Last Update Date | 2018-09-28 |