| NPI | 1689199663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2015039463) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C010830) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2017-08-10 |