| NPI | 1639530447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 1293) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 1103) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |