| NPI | 1659922961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 24576) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL 9329) |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |