| NPI | 1740208891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904006112) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-09-25 |