| NPI | 1609331453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 4687-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 1657) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |