| NPI | 1659785251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: AL 1508-c) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 1508c) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2018-05-10 |