| NPI | 1649687310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NH 1885) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2019-06-11 |