| NPI | 1609366954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012153) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011293) |
| Enumeration Date | 2018-05-12 |
| Last Update Date | 2019-05-08 |