| NPI | 1689096893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011749) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P008469) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2021-04-22 |