| NPI | 1730414418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6484) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR A3062) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2021-01-14 |