| NPI | 1629684964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 26174) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 122664) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |