| NPI | 1730489683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 9483) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C7676) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2017-03-17 |