| NPI | 1639407588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO 2002009971) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2019-01-07 |