| NPI | 1609194869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017008360) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C007208) |
| 1041C0700X Social Worker, Clinical (Licence: NC P004915) | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2019-02-07 |