| NPI | 1700294410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C009716) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P008055) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2016-02-01 |