| NPI | 1700443843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC PO13258) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC PO13258) |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2020-02-08 |