| NPI | 1659762037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1157) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 703) |
| 1041C0700X Social Worker, Clinical (Licence: NE 708) | |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |