| NPI | 1730654237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: L7698) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L7698) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-12-20 |