| NPI | 1619107109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L3843) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR 3575) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2021-01-29 |