| NPI | 1750606240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 12112) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P004100) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2022-10-24 |