| NPI | 1689956377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C007710) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL 4766) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2018-01-18 |