| NPI | 1598004194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011273) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW10974) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2020-09-03 |