| NPI | 1720522907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L10492) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OR A5271) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2021-02-19 |