| NPI | 1750768917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010111) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC P006788) |
| 1041C0700X Social Worker, Clinical (Licence: NC P006788) | |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2016-05-12 |