| NPI | 1588976559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6154) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 596) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2016-10-24 |