| NPI | 1740631241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011532) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010506) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2016-06-26 |
| Last Update Date | 2019-08-12 |