| NPI | 1700029725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C010831) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IN 33004939A) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2019-07-17 |