| NPI | 1639464704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-08438) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM I08438) |
| 1041C0700X Social Worker, Clinical (Licence: NM X-07376) | |
| 1041C0700X Social Worker, Clinical (Licence: NM M-07725) | |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2020-01-06 |