| NPI | 1619230786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008093) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 9446) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2016-09-20 |