| NPI | 1740426840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 4210) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1490) |
| Enumeration Date | 2008-12-20 |
| Last Update Date | 2021-01-21 |