| NPI | 1639150014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006021) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM I05345) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2024-01-25 |