| NPI | 1720409691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C009874) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MT SWP-LSCW-LIC-4598) |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2016-10-21 |