| NPI | 1619143070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 20813) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 111809) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2022-10-26 |