| NPI | 1730470600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006032) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC 1041C0700X) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2022-12-12 |