| NPI | 1730796905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 11675) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 67753) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |