| NPI | 1649235367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IA 309) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IA 00309) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2022-01-10 |