| NPI | 1750336293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 2048) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C004982) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2018-06-16 |