| NPI | 1700953189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L1983) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR L1983) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2017-03-01 |