| NPI | 1669609020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-37905) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L4838) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2020-05-15 |