| NPI | 1629389986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011350) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 5600139-3501) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2018-04-20 |