| NPI | 1598079469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AK 612) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA L 00006960) |
| 1041C0700X Social Worker Clinical (Licence: NY R034170-1) | |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2016-10-12 |