| NPI | 1750763306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013409) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW 8894) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2020-10-20 |